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Article: Volume 48 Number 11 Page 932 - December 2021

  Dental Update 495: 932-941  Read article

Endodontics:  When to consider the use of CBCT in endodontic treatment planning in adults

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Abstract: With the recent publication of European Society of Endodontology (ESE) position statements, newly proposed three-dimensional (3D) classification for external cervical resorption and new techniques such as guided access using 3D printed splints, cone beam computed tomography (CBCT) has never been more important in endodontics. Furthermore, CBCT machines are becoming more affordable, resulting in imaging being more accessible in primary and secondary care. This, aligned with higher resolution images at lower effective doses, means CBCT must now be considered when planning and delivering a range of endodontic procedures.

Clinical relevance: To review the use of CBCT in endodontics and raise awareness of its indications in primary and secondary care.

Author notes: Nisha Patel, BDS MFDS RCS(Glas), Newcastle Dental Hospital. Andrew Gemmell, BDS, MSc(RestDent), DipRestDent RCS(Eng), MPDC RCS(Ed), FDS RCS(Ed), Kingston Park Advanced Dentistry, Newcastle upon Tyne. David Edwards BDS(Hons), MSc(RestDent), MFDS RCS(Ed), MFDTEd, PGDipRestDent RCS(Eng), PGDipConSed, PGCertMedEd, PGDipClinRes, FHEA, Newcastle Dental Hospital. email: nisha.patel59@nhs.net

Objective: The reader should understand the indications for the use of CBCT in endodontic management, and consider its use when treatment-planning potentially complex cases.

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